Foster Application – FaerieLand Rescue

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1Contact Information

2Living Arrangements

3Family and Caretakers

4Dog Preferences

5References

6Personal References

7Fine Print

Contact Information

Please provide your contact details.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone

Secondary Phone

Email *

Living Arrangements

Please provide us with some details about your living arrangements.

What is your housing status? *

Own
Rent
Live with parents
Other

Other housing status *

Landlord contact information *

What type of home do you live in? *

House
Townhouse
Condo
Apartment
Duplex/Quadplex
Other

Other home type *

Household Setting

Rural
Suburban
Urban

Describe your Homes Activity Level

Busy/Noisy
Moderate Comings/Goings
Quiet with Occasional Guests

Do you have a fenced yard? *

Yes
No
No, but plan on fencing
Partial

Please give details on fence height, material, number of gates, are gates locked or lockable? *

Family and Caretakers

Please provide details relating to your family and planned caretaker(s).

How old are you?

Please list all people living in the household (Include name, relationship, gender and age) *

Does anyone in your household have allergies to animals?

Are all members of your family agreeable to fostering a dog?

How many hours a day on average will the dog be home alone? *

0-2 hours
3-6 hours
7-10 hours
10+ hours

Experience and Preferences

Please let us know what dog experience and preferences you have.

Please list any pets you have Living with you currently (Please include name, breed, age, altered, sex, UTD vaccines, heartworm treatments)

Do you have a preference in sex of foster? *

Male
Female
No Preference

Are you willing to foster a dog of any age? *

What age would you consider? *

What size dog are you willing to foster? (Check all that apply)

Corgi
Corgi mix
German Shepherd
German Shepherd mix

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes. *

Are you willing to take your foster dog to vet appointments, to the approved vet offices we use, at a convenient time for you? *

Do you drive or have access to a vehicle to bring your foster to events and appointments? *

Please explain why not *

Are you willing and able to medicate your foster, if needed? *

Yes
No
Only monthly preventatives

We cannot guarantee a dog to be housebroken. Are you equipped to train with love and patience? *

Have you had any experience with with an emotionally or physically neglected or abused dog? *

Please provide more details on your experience *

Are you willing to use a crate for a dog if recommended? *

What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility. *

Personal References

Please provide references that are not family.

First Reference Name *

First

Last

First Reference Relation to Applicant(s) *

What is their relation to you?

First Reference Phone Number *

First Reference Email Address

Second Reference Name *

First

Last

Second Reference Relation to Applicant(s) *

Second Reference Phone Number *

Second Reference Email Address

Third Reference Name

First

Last

Third Reference Relation to Applicant(s)

Third Reference Phone Number

Third Reference Email Address

Veterinary Provider Information

Please share your vet’s information.

Veterinary Office Name

Veterinarian's Name

Veterinary Office Address

Address Line 1

Address Line 2

City

State

Zip Code

Veterinary Office Phone Number

Veterinary Office Email Address

Foster Agreement

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any FAERIELAND RESCUE animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless FAERIELAND RESCUE and it’s members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release FAERIELAND RESCUE from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have FAERIELAND RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I’m unable to foster the dog(s) anymore that I will return the dog(s) to FAERIELAND RESCUE and try to give FAERIELAND RESCUE a 2 week period to try and find another suitable foster for the dog(s).

Agreement *

I agree

Signature *

Clear Signature